Report Summary

Title: Combined Assessment Program Summary Report - Evaluation of Colorectal Cancer Screening and Follow-Up in Veterans Health Administration Facilities
Report Number: 13-01741-215
Issue Date: 6/12/2013
VA Office: Veterans Health Administration (VHA)
Report Author: Office of Healthcare Inspections
Report Type: CAP Reviews
Release Type: Unrestricted
Summary: OIG completed an evaluation of colorectal cancer (CRC) screening and follow-up activities in Veterans Health Administration (VHA) facilities. The purpose of the evaluation was to follow-up on OIG’s report Healthcare Inspection – Colorectal Cancer Detection and Management in Veterans Health Administration Facilities (Report
No. 05-00784-76, February 2, 2006) and to assess the effectiveness of VHA’s CRC screening program. OIG evaluated CRC screening, follow-up diagnostic testing, and patient results notification at 53 facilities during Combined Assessment Program reviews performed from October 1, 2011, through September 30, 2012, and identified four areas that needed improvement. OIG recommended that clinicians: (1) communicate positive CRC screening test, diagnostic test, and biopsy results to patients within 14 days and document notification in the electronic health record; (2) document follow-up plans or document that no follow-up is warranted within 14 days of positive CRC screening results; (3) discuss diagnostic testing options with patients and ensure desired testing is performed within 60 days of the positive CRC screening results; and (4) complete general or surgical evaluations within 30 days of positive CRC pathology.